| NPI | 1972752152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA SAFIR Manager, School Based School Linked 816-418-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |